• Glenn M Eastwood, Leah Peck, Helen Young, Emily Paton, Neil J Glassford, Ling Zhang, Guijun Zhu, Aiko Tanaka, and Rinaldo Bellomo.
• Department of Intensive Care, Austin Hospital, Victoria, Australia. Electronic address: glenn.eastwood@austin.org.au.
• Intensive Crit Care Nurs. 2015 Dec 1; 31 (6): 352-8.

ObjectiveTo describe self-reported practice of fluid bolus therapy by intensive care nurses.Research MethodologyMulti-choice questionnaire of intensive care nurses conducted in July, 2014.SettingMajor university tertiary referral centre.Findings141 (64%) intensive care nurses responded. The majority of respondents identified 4% albumin as the commonest fluid bolus type and stated a fluid bolus was 250ml; however fluid bolus volume varied from 100ml to 1000ml. Hypotension was identified as the primary physiological trigger for a fluid bolus. In the hour following a fluid bolus for hypotension almost half of respondents expected an 'increase in mean arterial pressure of 0-10mmHg'; for oliguria, >60% expected an 'increase in urinary output of '0.5-1ml/kg/hour'; for low CVP, 50% expected 'an increase in CVP of 3-4mmHg'; and, for tachycardia, 45% expected a 'decrease in heart rate of 11-20beats/minute'. Finally, 7-10% of respondents were 'unsure' about the physiological response to a fluid bolus.ConclusionMost respondents identified fluid bolus therapy to be at least 250ml of 4% albumin given as quickly as possible; however, volumes from 100 to 1000ml were also accepted. There was much uncertainty about the expected physiological response to fluid bolus therapy according to indication.Copyright © 2015 Elsevier Ltd. All rights reserved.

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